Cross cultural validation of the preventive health model for colorectal cancer screening : an Australian study

Flight, Ingrid H., Wilson, Carlene J., McGillivray, Jane and Myers, Ronald E. 2010, Cross cultural validation of the preventive health model for colorectal cancer screening : an Australian study, Health education and behavior, vol. 37, no. 5, pp. 724-736, doi: 10.1177/1090198110364107.

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Title Cross cultural validation of the preventive health model for colorectal cancer screening : an Australian study
Author(s) Flight, Ingrid H.
Wilson, Carlene J.
McGillivray, JaneORCID iD for McGillivray, Jane orcid.org/0000-0003-2000-6488
Myers, Ronald E.
Journal name Health education and behavior
Volume number 37
Issue number 5
Start page 724
End page 736
Total pages 13
Publisher Sage Publications, Inc.
Place of publication Thousand Oaks, Calif.
Publication date 2010-10
ISSN 1090-1981
1552-6127
Keyword(s) screening
construct validity
colorectal cancer
FOBT
preventive health model
Australia
Summary We investigated whether the five-factor structure of the Preventive Health Model for colorectal cancer screening, developed in the United States, has validity in Australia. We also tested extending the model with the addition of the factor Self-Efficacy to Screen using Fecal Occult Blood Test (SESFOBT). Randomly selected men and women aged between 50 and 76 years (n = 414) responded to a survey. Confirmatory factor analyses indicated that the U.S. model provided adequate fit for the group as a whole and for men and women separately, thereby demonstrating cross-cultural validity for measuring factors influencing the decision to screen. The inclusion of SESFOBT in the model resulted in a comparable, but less parsimonious, fit. However, self-efficacy is a demonstrated mediator of intention and action, and it is argued that the addition of SESFOBT as a sixth factor may have utility for the design of strategies to increase actual uptake of FOBT.
Language eng
DOI 10.1177/1090198110364107
Field of Research 170106 Health, Clinical and Counselling Psychology
Socio Economic Objective 920205 Health Education and Promotion
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2010, Sage
Persistent URL http://hdl.handle.net/10536/DRO/DU:30032103

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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